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. 2009 Jan 23;18(4):562–569. doi: 10.1007/s00586-009-0884-1

Table 1.

Landmarks and definitions used to describe the cranio-cervical and pharyngeal/hyoid variables

Reference point Definition
Aa Outermost point of the anterior arch of the atlas
Pa Outermost point of the posterior arch of the atlas
C2a Anteroinferior point of the second cervical vertebra
C3a Anteroinferior point of the third cervical vertebra
C2pi Posteroinferior point of the second cervical vertebra
C3pi Posteroinferior point of the third cervical vertebra
C4pi Posteroinferior point of fourth cervical vertebra
C2 ps Posterosuperior point of the second cervical vertebra
APW2 Intercept of the posterior pharyngeal wall co-linear with PPW2
APW3 Intercept of the posterior pharyngeal wall co-linear with PPW3
PPW2 Intercept of the posterior pharyngeal wall co-linear with C2pi and C2a
PPW3 Intercept of the anterior pharyngeal wall co-linear with C3pi and C3a
HYa Anterosuperior point of the hyoid bone
HYp Posterosuperior point of the hyoid bone
N Nasion: the most anterior point of the frontonasal suture
S Sella: centre of sella turcica (pituitary fossa of the sphenoid bone)
Planes/distances
AT Line taken through points Aa and Pa
NSL Line taken through the nasion and the sella
AT Line through the points Aa and Pa
Hyoid plane Line through points HYa and HYp
HY/AP Perpendicular distance (mm) between HYa and vertical line through S
HY/VER Vertical distance (mm) between HYa and NSL
PPW2– APW2 Distance (mm) between PPW2 and APW2
PPW3–APW3 Distance (mm) between PPW2 and APW3
HOR Horizontal line perpendicular to the true vertical
VER With reference to the true vertical